Organization
ATHENS PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH E. MASON (CEO)
(706) 548-8697
Entity
Organization
Contact information
Practice address
1090 FOUNDERS BLVD, STE. B, ATHENS, GA 30606-6163
(706) 548-8697
(706) 548-8698
Mailing address
1090 FOUNDERS BLVD, STE. B, ATHENS, GA 30606-6163
(706) 548-8697
(706) 548-8698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY002674
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY002674
GA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY002674
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050836150C
—
GA
01
—
10034544
AMERIGROUP
—
01
—
556185000
MAGELLAN
—
Enumeration date
03/28/2012
Last updated
03/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us